International Napoleonic Society

13th International Napoleonic Congress

Endings and Beginnings: The World in 1815

Bedford Hotel and Congress Centre
Brussels, Belgium
July 6-10, 2015

REGISTRATION FORM

 

Please complete this form and either email it or fax it back as soon as possible. For questions, please use email (ins@napoleonicsociety.com), phone (416 342 8081) or fax (416 368 2887).

 

Title (Mr, Ms, Dr) Last name First Name Middle Name/Initial

 

Spouse/Companion

 

Others attending with you, not separately registered


Street Address

 

City

Province/State Country


Phone

 

Fax

Email


Date arriving in Brussels

 

Date leaving Brussels

Name of Hotel

 

Title of Paper :

 

Special requirements for presentation (e.g. overhead projector, LCD projector) :

 

Author Release Form

All presenters who wish their paper published must give authorization to the INS

 

I accept the invitation of the International Napoleonic Society to present a paper to the thirteenth International Napoleonic Congress in Bussels, and will comply with the technical requirements set forth in the Call for Papers. I authorize the International Napoleonic Society to publish my paper in any Napoleonic Scholarship, other publications or the INS Website, and/or to use it in a podcast/DVD of the Congress.

 

 

Print Name :

Sign Name :

Date :